V Lau MBBS , FRCR , FHKAM (Radiology); M Sun MBBS, FRCR, FHKAM (Radiology); F Chu MBBS, FRCR, FHKAM (Radiology).
Embolisation of hypervascular bone tumours: A pictorial essay with literature review
Version of Record online: 12 SEP 2012
© 2012 The Authors. Journal of Medical Imaging and Radiation Oncology © 2012 The Royal Australian and New Zealand College of Radiologists
Journal of Medical Imaging and Radiation Oncology
Volume 57, Issue 2, pages 191–197, April 2013
How to Cite
Lau, V., Sun, M. and Chu, F. (2013), Embolisation of hypervascular bone tumours: A pictorial essay with literature review. Journal of Medical Imaging and Radiation Oncology, 57: 191–197. doi: 10.1111/j.1754-9485.2012.02444.x
Conflict of interest: None.
- Issue online: 2 APR 2013
- Version of Record online: 12 SEP 2012
- Manuscript Accepted: 10 MAY 2012
- Manuscript Received: 3 OCT 2011
- bone neoplasms;
- giant cell tumour of bone;
Bone tumours, either primary or secondary, can present in various debilitating manners, including pain and pathological fracture. The situation is particularly problematic when the tumours are hypervascular, and located in regions where a high risk of neurological compromise is anticipated during operation, such as in the spine or sacrum. In such situations, bone tumour embolisation is a useful and effective adjunctive treatment for reducing intra-operative blood loss. This is particularly relevant in primary bone tumours such as giant cell tumours and metastatic renal cell and thyroid tumours. With a proper pre-embolisation angiogram and knowledge of anatomy, careful selective cannulation of the arterial supplies and experience in using embolic agents, the risks of non-target embolisation can be kept to minimum and the best result achieved.